Evaluation of a Habit-based Work-up to Support Medication Adherence in Primary Care
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 33
- 试验地点
- 1
- 主要终点
- Medication Adherence Report Scale
研究概览
简要总结
The goal of this clinical trial is to test the impact of a medication-taking habit worksheet and discussion with a pharmacist in patients who are prescribed a new chronic medication for cardiovascular disease or depression. The main questions it aims to answer are:
- What is the feasibility and acceptability of the workup from the perspective of the patients and the clinic?
- What is the impact of the intervention on the formation of medication-taking habits compared to a comparison group who receive standard pharmacist counseling?
- What is the difference in medication adherence beliefs and behaviors for the group receiving the habit workup compared to those receiving standard counseling?
详细描述
The purpose of this study is to evaluate a habit adherence workup delivered by pharmacy in primary care. The study population will include patients taking new medications for chronic conditions like high blood pressure, high cholesterol, diabetes, and depression.
This study uses a sequential design which involves first evaluating 16 patients without the added habit worksheet, and then the second phase evaluates 16 patients with the habit worksheet. All participants meet with the pharmacist and are provided standard counseling on the new medications. All participants complete the pre and post survey.
The pharmacist will be trained on the medication habit workup worksheet which has the patient choose cues they will use to develop their medication-taking habit. These will include associating the new habit with hygiene habits like toothbrushing, other habits like making coffee or eating breakfast, or visual cues like setting medications out where they will be easily noticed when doing other habits like getting dressed. Patients will take their sheet with them as a reminder of their plan. Patients also will receive medication counseling. The encounters will occur in a private clinic room.
All participants will complete baseline and follow-up surveys, which will include space for open-ended comments.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Sequential
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Participants must be fluent to speak and write in English,
- •must be prescribed a new chronic medication
排除标准
- •Does not manage their own medications independently
研究组 & 干预措施
Standard of care
The first 16 patients will receive standard medication counseling from the pharmacist
干预措施: Standard Medication Counseling (Behavioral)
Habit workup arm
The second 16 patients will receive the habit workup in addition to medication counseling
干预措施: Habit workup (Behavioral)
Habit workup arm
The second 16 patients will receive the habit workup in addition to medication counseling
干预措施: Standard Medication Counseling (Behavioral)
结局指标
主要结局
Medication Adherence Report Scale
时间窗: From enrollment to 100 days following
Five-items from the medication Adherence Report scale assessed using 5-point Likert scale. Possible range 5-25 (higher values associated with greater medication adherence)
4-item Habit Automaticity Index
时间窗: From enrollment to 100 days following
This 4 scale uses four validated items from the Habit Automaticity Index and uses a 5-point Likert scale. Possible range 4-20 (higher values associated with greater automaticity of medication-taking habit)
次要结局
- Beliefs about Medicines Questionnaire(From enrollment to 100 days following)
研究者
Matthew J. Witry
Associate Professor
University of Iowa